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Volume 43 , Issue 5
September/October 2023
Pages 579–587

Immediate Implant Placement in the Esthetic Zone Using a Novel Tapered Implant Design and a Digital Integrated Workflow: A Case Series

Leon Pariente, DDS/Karim Dada, DDS/Susy Linder, DDS, MS, PhD/Michel Dard, DDS, MS, PhD

PMID: 37338919
DOI: 10.11607/prd.5313

The purpose of this case series was to assess the application of a novel self-cutting, tapered implant (Straumann BLX) in combination with a digital integrated prosthetic workflow for immediate placement and restoration. Fourteen consecutive patients who required replacement of a single hopeless maxillary or mandibular tooth in the esthetic area and met the clinical and radiographic criteria for immediate implant placement were treated. All cases followed the same treatment procedure of extraction and immediate implant placement. Immediate temporization with full contoured screw-retained provisional restorations was performed using an integrated digital workflow. After implant placement and dual-zone bone and soft tissue augmentation, connecting geometries and emergence profiles were finalized. The average implant insertion torque was 53.2 ± 14.9 Ncm (range: 35 to 80 Ncm), allowing immediate provisional restoration in all cases. Final restorations were delivered 3 months after implant placement. An implant survival rate of 100% was observed at the 1-year postloading follow-up. The results of this case series suggest that immediate placement of novel tapered implants and immediate provisionalization using an integrated digital workflow can result in predictable and functional and esthetic results for the immediate transition of failing single teeth in the esthetic area.

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